Individual provider Active NPI

Moussa Nader, DMD

  • General Practice Dentistry
  • Saint Albans, VT
National Provider Identifier
1659266567
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0134365 Issued in VT
Practice address
39 Congress St
Saint Albans, VT 05478-1610
Phone
(802) 524-9774
NPI assigned
Jun 11, 2025
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065411-01 NY
General Practice Dentistry 1223G0001X 016.0134365 VT Primary

Addresses

Primary practice location

39 Congress St
Saint Albans, VT 05478-1610

Mailing address

39 Congress St
Saint Albans, VT 05478-1610
Phone (802) 524-9774

Other practice location 1

304 W Bay Plz
Plattsburgh, NY 12901-1787
Phone (518) 825-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016.0134365VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Family Dental PLC CurrentSince Jun 15, 2025 Accepting new patients
Fiddlehead Family Dentistry PC General Practice PastSince Jun 15, 2025 Accepting new patients

Locations

39 Congress St
Saint Albans, VT 05478
Phone (802) 524-9774

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1659266567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781610",
            "telephone_number": "802-524-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781610",
            "telephone_number": "802-524-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Bay Plz",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011787",
            "country_code": "US",
            "telephone_number": "518-825-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADER",
        "first_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065411-01",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0134365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.